Identities/MBR-004231
Gold, golden identity

Sandra S Banks

5 source records from 3 feeds.

MBR-004231Verified5 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameENR
Sandra
Middle nameENR
S
Last nameENR
Banks
Date of birthCLM
2000-12-28
GenderENR
M
Member IDENR
UHC-77872-48
SSNENR
•••-••-3027
PhoneENR
5844352533
Email—
—
AddressENR
7841 Park Pl
CityENR
Tucson
StateENR
AZ
ZIPENR
85736
GroupENR
GRP-3509
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.96
Sources
ENR ×1CLM ×3TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

0.960.991.001.000.99ENRENR-130271CLMCLM-423129CLMCLM-423128TPATPA-60165CLMCLM-423130IDMBR-004231
Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
ENR-130271ENR2026-01-14Sandra Banksflagged—UHC-77872-4858443525337841 Park Pl, Tucson, AZRule0.96D3 member id + name
CLM-423129CLM2026-02-02Sandra Banksflagged2000-12-28UHC-77872-48——Rule0.99D1 member id + dob exact
CLM-423128CLM2026-06-02Sandra Banksflagged2000-12-28UHC-77872-4858443525337841 Park Pl, Tucson, AZScored1.00—
TPA-60165TPA2026-07-07Sandra Banksflagged2000-12-28——7841 Park Pl, Tucson, AZScored1.00—
CLM-423130CLM2026-08-12Sandra Banksflagged2000-12-28UHC-77872-48——Rule0.99D1 member id + dob exact

Evidence

10 scored pairs among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-423128CLMTPA-60165TPA 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423129CLMCLM-423128CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423129CLMCLM-423130CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423128CLMCLM-423130CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-130271ENRCLM-423128CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-130271ENRCLM-423129CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-130271ENRCLM-423130CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60165TPA CLM-423130CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-423129CLMTPA-60165TPA 0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶ENR-130271ENRTPA-60165TPA 0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Sandra Banks: 3 claims, no attributed provider
    ACT-018108, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically78f7b8a8e3
    matching_agent, CLM-423130, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423129
  • 2026-10-22 12:43:53Record linked automatically41c01e5c89
    scoring_agent, TPA-60165, identity id MBR-004231, confidence 1, method probabilistic, matched record CLM-423128, policy version 1
  • 2026-10-22 12:43:53Record linked automatically1823600c04
    scoring_agent, CLM-423128, identity id MBR-004231, confidence 1, method probabilistic, matched record TPA-60165, policy version 1
  • 2026-10-22 12:43:53Record linked automatically9151940577
    matching_agent, CLM-423129, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423128
  • 2026-10-22 12:43:53Record linked automatically21d4124686
    matching_agent, ENR-130271, identity id MBR-004231, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423129
  • 2026-10-19 19:54:38Record linked automaticallyf80c63af5d
    matching_agent, CLM-423130, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423129
  • 2026-10-19 19:54:38Record linked automatically13e908cf2e
    scoring_agent, TPA-60165, identity id MBR-004231, confidence 1, method probabilistic, matched record CLM-423128, policy version 1
  • 2026-10-19 19:54:38Record linked automatically93f1e5cb10
    scoring_agent, CLM-423128, identity id MBR-004231, confidence 1, method probabilistic, matched record TPA-60165, policy version 1
  • 2026-10-19 19:54:38Record linked automatically58f27db552
    matching_agent, CLM-423129, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423128
  • 2026-10-19 19:54:38Record linked automatically2e244cd811
    matching_agent, ENR-130271, identity id MBR-004231, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423129
  • 2026-10-19 19:52:08Record linked automaticallydc2cfac557
    matching_agent, CLM-423130, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423129
  • 2026-10-19 19:52:08Record linked automatically6cfac0b0a4
    scoring_agent, TPA-60165, identity id MBR-004231, confidence 1, method probabilistic, matched record CLM-423128, policy version 1
  • 2026-10-19 19:52:08Record linked automatically2bb3663eec
    scoring_agent, CLM-423128, identity id MBR-004231, confidence 1, method probabilistic, matched record TPA-60165, policy version 1
  • 2026-10-19 19:52:08Record linked automatically9950c5849a
    matching_agent, CLM-423129, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423128
  • 2026-10-19 19:52:08Record linked automatically48e698d2f2
    matching_agent, ENR-130271, identity id MBR-004231, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423129
  • 2026-10-19 19:45:42Record linked automatically6c4bba386e
    matching_agent, CLM-423130, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423129
  • 2026-10-19 19:45:42Record linked automatically885a9af4cc
    scoring_agent, TPA-60165, identity id MBR-004231, confidence 1, method probabilistic, matched record CLM-423128, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb24aec2ac4
    scoring_agent, CLM-423128, identity id MBR-004231, confidence 1, method probabilistic, matched record TPA-60165, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya8089fa3f6
    matching_agent, CLM-423129, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423128
  • 2026-10-19 19:45:42Record linked automaticallyb6518606de
    matching_agent, ENR-130271, identity id MBR-004231, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423129
  • 2026-10-19 19:32:31Record linked automatically866134f4dd
    matching_agent, CLM-423130, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423129
  • 2026-10-19 19:32:31Record linked automatically9a379bf4a9
    scoring_agent, TPA-60165, identity id MBR-004231, confidence 1, method probabilistic, matched record CLM-423128, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2d683ca7ff
    scoring_agent, CLM-423128, identity id MBR-004231, confidence 1, method probabilistic, matched record TPA-60165, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyaa76e36598
    matching_agent, CLM-423129, identity id MBR-004231, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423128
  • 2026-10-19 19:32:31Record linked automatically0540d272df
    matching_agent, ENR-130271, identity id MBR-004231, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423129
  • 2026-10-19 19:31:28Record linked automatically731b612d57
    scoring_agent, ENR-130271, identity id MBR-039753, confidence 1, method probabilistic, matched record CLM-422974, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd49caa4d61
    scoring_agent, CLM-423130, identity id MBR-018409, confidence 1, method probabilistic, matched record CLM-423131, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybd12e8633f
    scoring_agent, TPA-60165, identity id MBR-006738, confidence 0.99, method probabilistic, matched record ENR-130444, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydf2bd4dbbe
    scoring_agent, CLM-423129, identity id MBR-006621, confidence 1, method probabilistic, matched record TPA-60169, policy version 1
  • 2026-10-19 19:31:28Record linked automatically867a21e28b
    scoring_agent, CLM-423128, identity id MBR-006621, confidence 1, method probabilistic, matched record TPA-60169, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0269102026-07-03Heritage Community Hospital
in network
99285$2,845.00$1,214.75ApprovedApproved
CLM-2026-0331862026-04-19Pinecrest Bone and Joint Center
in network
29881$8,284.00$3,589.35ApprovedApproved
CLM-2026-0183362025-12-28Sunrise Dermatology Clinic
in network
99213, 11403$846.00$449.52ApprovedApproved